Wow. Some sites look at Munchausen's as an "illness", others... well, don't... like this paragraph:
MBP Confirmation-Disconfirmation Process
MBP is a recognized kind of maltreatment (abuse/neglect) - it is something someone does, NOT something someone "has" or "suffers from". It is behavior that one person deliberately perpetrates on another. For MBP to be confirmed, there must be:
(1) proof, through direct or circumstantial evidence (usually strong circumstantial evidence), that the suspected perpetrator has deliberately exaggerated and/or fabricated and/or induced a problem (physical and/or psychological-behavioral-mental health) regarding another person, and
(2) rationale that the behavior is consistent with MBP maltreatment, rather than something else.
There is no mental health test or evaluation that can rule MBP maltreatment in or out. There is no "profile" or combination of personal characteristics or traits that can determine whether someone is or is not an MBP perpetrator. The MBP confirmation-disconfirmation process involves the gathering and specialized evaluation of all possible information regarded suspected perpetrator(s), suspected victim(s), other children presently or formerly in the home - even if now adults or deceased, and sometimes others - depending on the case situation.
MBP physical and emotional victim risk results from medical and mental health interventions as well as from actual symptoms/illness induced by the perpetrator.
Although labeling a case MBP maltreatment may not be necessary in criminal cases, a confirmation of MBP maltreatment by or with the assistance of a credible MBP professional, and finding of MBP maltreatment in child protection courts, is extremely important. Child protection case plans must correspond to the kind of maltreatment that is confirmed. Appropriate MBP case plans include elements unique to MBP maltreatment - activities that must be successfully completed prior to consideration of reunification between victim and perpetrator, and other activities related to where the victim will live, other children in the home, contact between perpetrator and victim and potential victims, visitation with others, and other short and long term issues related to child protection.
Like so many mental health issues, there seem to be more opinions than answers. Nanny cameras are the obvious first line of defense though, and the family is currently trying to figure out how to get that done.
I suppose I was wondering if anyone has ever dealt with a Munchausen's patient up close, and if there is any "good" way of confronting the person. "Confrontation" is a really bad word, but someone has got to do something for this child before irreparable harm is done. The mother has been strangely apathetic about this child's illness. If any of her other children had so much as a bruise, she'd be on the roof about it. But not this one.
I'll keep on reading. Thanks for the replies!